HomeMy WebLinkAbout0225 1516?42 ~
Declaratlon ot Do~nicile . and Citis~r~ship
TO THE STATE AND COUNTY TAX ASSESSOR, .
Si. IUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile a~d Citizenship in the State of florida thst 1 am filiny this day in aooordancs and
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in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was formerly a legal res~de+,t of GARWUOD N• J•
(Ciy? - (Sta»)
and 1 ~esidsd at 54 3rd Ave. ,~,,,~~,er ~ have charpsd my domicile
(Straet and Numbe~)
ro and am and have been a bo~a fide resident of the Stste of Florida since lst day of
September , 19 66, a~ a~ Bden Rd--Rt. 2 Box 6505-Lakewood Pk
(Street and Numbef)
? FORT N~CE, SAINj~lUC1E COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ths State of Horida.
(Insert here any pertinent facts, such as sale of property or business, +or ~elinquishment of employment
at former domicile, ~emoval of family to new domicile, purct~s~4~liome, etc•) •
FILING FOR HOMBSTEAD PURFOSBS
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fl~o Apo ~~oRO~
sT. wciE couarr, .
RECORO VERIf1E0 151~2
'6t JAN 6 PM I: 40
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I rcO~ER POITRAS
~ • CLERK CIRCUIT COURT
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1 FURTHER CHtTIFY that 1 will oomply wifh all other requiremenh of a Is~al rssident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my forme~ domicjle, ~nd 1 intend to remain in FORT
PIERC~; SAINT LUCIE COUNTY, FLORIDA, permanently. - ~~~~~a~~,
~p / v2/
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- (Name).
,~a~t~tr:s,,; CLIFFORD C. ANDREWS
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' ' L~ ~~~M~~M'~V G /t
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`<J .•~`'~'~r~'' ~ ~`G'•~,' = (Address)
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y N. : _ ; -
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' 6th JANUARY ~q 5?
~ 5' ~'t 'ej~subsuibed before me this day of . •
- ..^S~Y°i,t~v~: - .
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~ ~ R COU Notary Public
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gy ~ _ - D.C. My ~ommiuion expires _
(Te b~ jn duplicah snd oei~inal Rl~d with Cl~lc Cirarit Car~f, and d~pliul~ wi1M Tax ~A~~.)
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